Author Question: After having a difficult time saying no when asked to work yet another overtime shift, the nurse ... (Read 73 times)

@Brianna17 · **on:** Jul 23, 2018

After having a difficult time saying no when asked to work yet another overtime shift, the nurse begins to feel overwhelmed and irritable. As a method to most effectively promote self-healing, what should this nurse do?

1. Clarify values and beliefs.
2. Set realistic goals.
3. Learn to manage stress.
4. Challenge the belief that others always come first.

Question 2

A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain.

The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned. What is an appropriate nursing diagnosis for this client?
1. Body Image Disturbance
2. Health-Seeking Behavior
3. Altered Family Processes
4. Spiritual Distress

dyrone · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Identification of things that are important, meaningful, and valuable is part of clarifying values and beliefs and may help, but there is a more specific option available.
Rationale 2: Identifying and setting goals may help, but there is a more specific option available.
Rationale 3: Stress management may help, but there is a more specific option available.
Rationale 4: Overwork and overinvolvement leave little time for fulfillment of personal needs. Nurses need to learn to ask for what they need and avoid feelings of selfishness when not responding to someone else's needs.

Answer to Question 2

Correct Answer: 4
Rationale: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades one's biological and psychosocial nature. The feelings the client expresses have little to do with his body image.